APRN Advanced roles test 1
How prescriptive authority regulated? - ANSWER-By state board
NPs have a practice agreement or protocol?- what type and what it comprises -
ANSWER-No collaborative agreement with physician- plenary authority
Supervisory or delegated authority-supervision, delegation, or team-management
by an outside health discipline in order for the NP to provide patient care
consulting- MD available over phone for consultation Collaborative- team
approach- both MD and NP work for same practice
Reason for professional standards- - ANSWER-primary reason is so APNs
function within their scope of practice for knowledge and skills
Why NP role initiated? - ANSWER-low income, rural areas lack of care,increased
older populations and special needs populations, cost effective, patientsgo home
quicker, higher acuity in community, restriction on resident hours, cohort of
nurses who want to climb ladder,, lack of access to PCP, MDshortage in PCP,
need for definition, education and regulation of these nurses practicing in
advanced roles, improve access, address lack of primary care, improve quality,
patient education- prevention and health promotion
CCNE- - ANSWER-Commission on Collegiate Nursing Education (CCNE) is
officially recognized by the U.S. Secretary of Education as a national
accreditation agency. CCNE accreditation has become a mark of quality and
integrity for baccalaureate, graduate and residency programs in nursing.
ANCC- - ANSWER-American Nurses Credentialing Center (ANCC), a subsidiary
of the American Nurses Association (ANA), is to promote excellence in nursing
and health care globally through credentialing programs, promote quality health
care by credentialing programs for individuals
NONPF - ANSWER-National organization of Nurse Practitioner faculty- primary
goal is address issues in field and establish curriculum, advance policy ,
,continuing policy and fostering diversity, promoting scholarship and strengthening
resources
AANP- - ANSWER-largest professional nursing organization- , started 2013- lead
NPs in transforming patient center healthcare and core values are Integrity,
excellence, professionalism leadership and service; "voice of the NP"
Pay for performance- who manages it? - ANSWER-managed by CMS- center for
Medicare/Medicaid services
Consensus Model Population foci- - ANSWER-Family/Individual across lifespan,
Adult-GErontology, Neonatal, Pediatrics, Womens Heath/Gender related,
Psychiatric/Mental health
various APN roles- - ANSWER-Nurse Anesthetist, CNS, Nm CNM
HMO- - ANSWER-PCP is gatekeeper- needs referral for specialist. least
expensive, most restrictive
IPAs- - ANSWER-MDs paid on capitation- set amount for each enrolled person
assigned to MD whether or not they seek care- MDs can sign multiple contracts,
also can still do fee-for service patients
PPO- - ANSWER-provider contracted with insurer or third party administrator,
subscription based medical care arrangement, increased flexibility for patients,
but have higher premiums.
POS- - ANSWER-patients dont have choice about which system to use until
point service being used; increased financial burden on patient if patient choses
to go out of network- increased flexibility and freedom of choice
Standards of Practice- - ANSWER-so APNs function within their scope of
practice for their knowledge and skills, developed by nursing professional
organizations
strategic budget- - ANSWER-long range paln
,Operational budget- - ANSWER-day-to-day activity of organization and what
funding supports that cost
Capital budget- - ANSWER-budget for major durable equipment
How best can we support policy and legislation to support our role -
ANSWER-work in the full scope of our practices prove that we are cost effective
and quality care (esp in prevention, education and screening
Pros to DNP- - ANSWER-required for more supervised practice,many health
care disciplines already have moved toward doctorate,current masters is too
heavy, predictions of more knowledge demands
Cons to DNP - ANSWER-No data based evidence, credits cold be used more
selectively, absence of cost/benefit analysis, to follow others professions is
mindless, decrease in pHd prepared nursing
Why do we need APNs? - ANSWER-rural areas, low income underserved,
increased older populations and special needs populations, cost effective,
patients go home quicker, higher acuity in community, restriction on resident
hours, cohort of nurses who want to climb ladder,, lack of access to PCP, MD
shortage in PCP, need for definition, education and regulation of these nurses
practicing in advanced roles, improve access, address lack of primary care,
improve quality, patient education- prevention and health promotion
Globally? - ANSWER-decreased access to care, care to underserved, MD
shortage, , older population needing more in home care, increased acuity in
patients, call for professional advancement, nurses moving to mainstream, better
informed health consumers, increased specialized services
FNA- - ANSWER-to serve and support all registered nurses through professional
development, advocacy and the promotion of excellence at every level of
nursing-legislative issues
FNPN- - ANSWER-to encourage networking between members, provide
education and professional development for nurse practitioners
, HIPAA (Health Insurance Portability and Accountability Act of 1996) -
ANSWER-is United States legislation that provides data privacy and security
provisions for safeguarding medical information.
ANCC- - ANSWER-American Nurses Credentialing Center- worlds largest
credentialing organization, subsidiary of ANA
AANP- - ANSWER-American Academy of Nurse Practitioners National
Certification Board is an independent and separately incorporated non-profit
organization, established to provide a valid and reliable program for entry-level
nurse practitioners to recognize their education, knowledge and professional
expertise, as well as a process for validation of an advanced practice nurse's
qualifications and knowledge for practice as a nurse practitioner.
Distinguish between a profession and a job- - ANSWER-The simplest answer
might be that a "profession" is what you do or what you practice, while a "job" is
who you do it for.i.e. profession is medicine, job is doctor. Jobs are activities that
are performed in exchange of a monetary value. A job is often short-term and
only done as a person requires money to live. Jobs do not make a significant
impact to society of the person's life. If person is unhappy with a job, then tend to
move on to a better one. The hours of the jobs also depend on the type of job it
is. It also can range from an hour to 9 hours. PROFESSION:-It's based on
specialized educational training.The person may or may not be also required to
undertake regulated training. For example a doctor who has to study for a
number of years, pass the boards and complete a residency before he can be
qualified as a doctor.
Why turf issue with MD groups- - ANSWER-strong AMA lobby barrier,
professional elitism, lack of consistency of who we are, feel that we will change
the environment and create a 2 tier system
Data on NP outcomes - ANSWER-have found NP outcomes are equal to or
better than MD care
What do you need in order to bill for services- - ANSWER-need to be licensed
and board certified
How prescriptive authority regulated? - ANSWER-By state board
NPs have a practice agreement or protocol?- what type and what it comprises -
ANSWER-No collaborative agreement with physician- plenary authority
Supervisory or delegated authority-supervision, delegation, or team-management
by an outside health discipline in order for the NP to provide patient care
consulting- MD available over phone for consultation Collaborative- team
approach- both MD and NP work for same practice
Reason for professional standards- - ANSWER-primary reason is so APNs
function within their scope of practice for knowledge and skills
Why NP role initiated? - ANSWER-low income, rural areas lack of care,increased
older populations and special needs populations, cost effective, patientsgo home
quicker, higher acuity in community, restriction on resident hours, cohort of
nurses who want to climb ladder,, lack of access to PCP, MDshortage in PCP,
need for definition, education and regulation of these nurses practicing in
advanced roles, improve access, address lack of primary care, improve quality,
patient education- prevention and health promotion
CCNE- - ANSWER-Commission on Collegiate Nursing Education (CCNE) is
officially recognized by the U.S. Secretary of Education as a national
accreditation agency. CCNE accreditation has become a mark of quality and
integrity for baccalaureate, graduate and residency programs in nursing.
ANCC- - ANSWER-American Nurses Credentialing Center (ANCC), a subsidiary
of the American Nurses Association (ANA), is to promote excellence in nursing
and health care globally through credentialing programs, promote quality health
care by credentialing programs for individuals
NONPF - ANSWER-National organization of Nurse Practitioner faculty- primary
goal is address issues in field and establish curriculum, advance policy ,
,continuing policy and fostering diversity, promoting scholarship and strengthening
resources
AANP- - ANSWER-largest professional nursing organization- , started 2013- lead
NPs in transforming patient center healthcare and core values are Integrity,
excellence, professionalism leadership and service; "voice of the NP"
Pay for performance- who manages it? - ANSWER-managed by CMS- center for
Medicare/Medicaid services
Consensus Model Population foci- - ANSWER-Family/Individual across lifespan,
Adult-GErontology, Neonatal, Pediatrics, Womens Heath/Gender related,
Psychiatric/Mental health
various APN roles- - ANSWER-Nurse Anesthetist, CNS, Nm CNM
HMO- - ANSWER-PCP is gatekeeper- needs referral for specialist. least
expensive, most restrictive
IPAs- - ANSWER-MDs paid on capitation- set amount for each enrolled person
assigned to MD whether or not they seek care- MDs can sign multiple contracts,
also can still do fee-for service patients
PPO- - ANSWER-provider contracted with insurer or third party administrator,
subscription based medical care arrangement, increased flexibility for patients,
but have higher premiums.
POS- - ANSWER-patients dont have choice about which system to use until
point service being used; increased financial burden on patient if patient choses
to go out of network- increased flexibility and freedom of choice
Standards of Practice- - ANSWER-so APNs function within their scope of
practice for their knowledge and skills, developed by nursing professional
organizations
strategic budget- - ANSWER-long range paln
,Operational budget- - ANSWER-day-to-day activity of organization and what
funding supports that cost
Capital budget- - ANSWER-budget for major durable equipment
How best can we support policy and legislation to support our role -
ANSWER-work in the full scope of our practices prove that we are cost effective
and quality care (esp in prevention, education and screening
Pros to DNP- - ANSWER-required for more supervised practice,many health
care disciplines already have moved toward doctorate,current masters is too
heavy, predictions of more knowledge demands
Cons to DNP - ANSWER-No data based evidence, credits cold be used more
selectively, absence of cost/benefit analysis, to follow others professions is
mindless, decrease in pHd prepared nursing
Why do we need APNs? - ANSWER-rural areas, low income underserved,
increased older populations and special needs populations, cost effective,
patients go home quicker, higher acuity in community, restriction on resident
hours, cohort of nurses who want to climb ladder,, lack of access to PCP, MD
shortage in PCP, need for definition, education and regulation of these nurses
practicing in advanced roles, improve access, address lack of primary care,
improve quality, patient education- prevention and health promotion
Globally? - ANSWER-decreased access to care, care to underserved, MD
shortage, , older population needing more in home care, increased acuity in
patients, call for professional advancement, nurses moving to mainstream, better
informed health consumers, increased specialized services
FNA- - ANSWER-to serve and support all registered nurses through professional
development, advocacy and the promotion of excellence at every level of
nursing-legislative issues
FNPN- - ANSWER-to encourage networking between members, provide
education and professional development for nurse practitioners
, HIPAA (Health Insurance Portability and Accountability Act of 1996) -
ANSWER-is United States legislation that provides data privacy and security
provisions for safeguarding medical information.
ANCC- - ANSWER-American Nurses Credentialing Center- worlds largest
credentialing organization, subsidiary of ANA
AANP- - ANSWER-American Academy of Nurse Practitioners National
Certification Board is an independent and separately incorporated non-profit
organization, established to provide a valid and reliable program for entry-level
nurse practitioners to recognize their education, knowledge and professional
expertise, as well as a process for validation of an advanced practice nurse's
qualifications and knowledge for practice as a nurse practitioner.
Distinguish between a profession and a job- - ANSWER-The simplest answer
might be that a "profession" is what you do or what you practice, while a "job" is
who you do it for.i.e. profession is medicine, job is doctor. Jobs are activities that
are performed in exchange of a monetary value. A job is often short-term and
only done as a person requires money to live. Jobs do not make a significant
impact to society of the person's life. If person is unhappy with a job, then tend to
move on to a better one. The hours of the jobs also depend on the type of job it
is. It also can range from an hour to 9 hours. PROFESSION:-It's based on
specialized educational training.The person may or may not be also required to
undertake regulated training. For example a doctor who has to study for a
number of years, pass the boards and complete a residency before he can be
qualified as a doctor.
Why turf issue with MD groups- - ANSWER-strong AMA lobby barrier,
professional elitism, lack of consistency of who we are, feel that we will change
the environment and create a 2 tier system
Data on NP outcomes - ANSWER-have found NP outcomes are equal to or
better than MD care
What do you need in order to bill for services- - ANSWER-need to be licensed
and board certified
